FORM 1023-EZ for PRETERM BIRTH INTERNATIONAL COLLABORATIVE INC

Field Data
EIN 81-4943577
Case Number EO-2020218-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRETERM BIRTH INTERNATIONAL COLLABORATIVE INC
Organization’s Mailing Address 150 DORSET STREET SUITE 245-240
City SOUTH BURLINGTON
State VT
ZIP 05403
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA GYAMFI-BANNERMAN
PRESIDENT/DIRECTOR
51 W 51ST STREET SUITE 320
NEW YORK NY 10019

Officer/Director/Trustee Two

SAM MESIANO
TREASURER/DIRECTOR
CASE WESTERN RESERVE UNIVERSITY
CLEVELAND OH 44106

Officer/Director/Trustee Three

ELIZABETH BONNEY
SECRETARY/DIRECTOR
792 COLLEGE PARKWAY SUITE 101
COLCHESTER VT 05446

Officer/Director/Trustee Four

JAROSLAW KALINKA
VICE PRESIDENT/DIRECTOR
AL TADEUSZA KOSCIUSZKI 4
LODZ 90-419 POL

Officer/Director/Trustee Five

RAMKUMAR MENON
DIRECTOR
MRB 11 138 301 UNIVERSITY BLVD
GALVESTON TX 77555

Organization’s website HTTPS://WWW.PREBICGLOBAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2017
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAMKUMAR MENON
Signature Title DIRECTOR
Signature Date 8/3/2020

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